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Media Accreditation Form


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First Name: *
 Last Name: *
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Address Line 1:(Street address, PO box, company name, c/o)
Address Line 2:(Apartment, suite, unit, building, floor, etc.)
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 State/Region/Province: * Zip/Postal Code: *

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Email: *
 Web site:  

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Media: *
    
   
Name of Media Organization:
Name and email contact of Editor:

What type of Media Accreditation are you requesting?



Is your coverage Editorial or Commercial?

If you are a Freelancer, please indicate which media outlets you have secured (or are pitching to):

Are you working as part of a media team on the Yukon Quest? If so, please name the other people on your crew:

Please check the points on the race where you plan to be:












How will you be covering the Yukon Quest?



Have you been on the trail/covered the Yukon Quest Race in previous years?
  
If "yes", what years did you previously cover the race?
Have you reported on the Yukon Quest Race in previous years?
  
If "yes", what media/publications published your coverage?
What other sled dog races have you covered, when and for which media/publications?
What other outdoor adventure race coverage experience do you have and for which media/publications?
Will your Yukon Quest coverage be available on the Internet?
  
If available, please indicate the web site address(s):

What media equipment are you traveling with?
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